Title:
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The peptide-containing nerves of the mammalian gut and pancreas in health and disease
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Since the 1960s the field of gut endocrinology has undergone a
period of rapid growth. An ever increasing number of active peptides
are being discovered in tissue structures ranging from classical
endocrine cells to autonomic nerve fibres. The peptides found in nerve
fibres in the gastroenteropancreatic tract have been called the gut
neuropeptides; these include VIP, substance P and enkephalins. It was
the localisation of these substances which formed the basis of this
study.
The purpose of this work was to apply and, where necessary, adapt
immunocytochemical techniques in order to examine the distribution of
the peptides in the nerves of the mammalian gut and pancreas, in both
normal and disease states and to test the hypothesis that the peptide
containing nerves undergo identifiable changes in some diseases.
An extended series of experiments established a new method for
preparing tissue for immunocytochemical investigation. The distribution
of the peptide containing nerves was studied in a wide range of
mammalian species, particularly man and the various different types
were found in each species, at all levels of the gut and in each layer
of the wall. In the pancreas, peptide containing nerves were found in
association with both the endocrine and the exocrine tissue.
Following the localisation of peptides to nerves in normal tissues,
pathological specimens were studied from a number of different gut
diseases. Distinct abnormalities of the nerves were detected. For
example, changes were found in both congenital and acquired megacolon
where peptide containing nerves were reduced in number. In contrast, in
Crohn's disease one particular group of nerves, those containing VIP,
was found to be hyperplastic.
In addition to examining the distribution of the peptides, the
occurrence of two so-called 'brain specific' proteins was investigated
in the gut and pancreas. Immunostaining of one of the proteins, an
enzyme originally but erroneously called neuron specific enolase (NSE),
was shown to be a specific means for the demonstration of all known
endocrine cells and nerves of the gut and pancreas. The other protein,
S-100, has no known function but has a widespread distribution in glial
and Schwann cells. It was therefore used as a marker for these elements
in normal and diseased tissues.
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